Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.25 / $2,144.25 / $4,338.00	Facility		$2,144.25	$2,144.25	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.13 / $2,144.25 / $5,547.45	Professional		$1,820.13	$2,144.25	$5,547.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.49 / $4,836.64 / $6,045.82	Professional		$3,715.49	$4,836.64	$6,045.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,614.62 / $3,544.67 / $4,786.25	Facility		$2,614.62	$3,544.67	$4,786.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,049.17 / $4,312.64 / $16,414.72	Professional		$2,049.17	$4,312.64	$16,414.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,188.48 / $4,478.64 / $7,169.50	Facility		$3,188.48	$4,478.64	$7,169.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,042.00 / $4,230.22 / $6,210.13	Professional		$3,042.00	$4,230.22	$6,210.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,375.98 / $3,528.35 / $4,583.29	Professional		$2,375.98	$3,528.35	$4,583.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,049.17 / $3,853.32 / $5,976.80	Professional		$2,049.17	$3,853.32	$5,976.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,546.80 / $5,563.10 / $5,563.10	Professional		$4,546.80	$5,563.10	$5,563.10